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General NPI Number Information
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NPI Number | 1225700610
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Entity Type | Individual
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Provider Name | JOSE ALGARIN
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Gender | Male
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 8264 164TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1121
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Country | US
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Telephone | 718-883-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 12335 82ND RD APT 2Q
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City | KEW GARDENS
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State | NY
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Zip | 11415-1605
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Country | US
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Telephone | 347-409-1263
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | P112259
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License Number State | NY
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